MEDICARE: TRI-COUNTY VOCATIONAL CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle
2	251C00000X	Developmentally Disabled Services Day Training Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992825111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI-COUNTY VOCATIONAL CENTER, INC

Provider Business Mailing Address
First Line	:	1905 E RICHMOND LN
Second Line	:
City	:	CLEVELAND
State	:	OK
Zip	:	74020-7635
Country	:	US
Telephone Number	:	918-243-5240
Fax Number	:	918-243-5934

Provider Business Practice Location Address
First Line	:	1905 E RICHMOND LN
Second Line	:
City	:	CLEVELAND
State	:	OK
Zip	:	74020-7635
Country	:	US
Telephone Number	:	918-243-5240
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. SUE MILLER
Credential	:
Telephone Number	:	918-243-5240

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	08/19/2025

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